Jack Regan Grady , D, PM
Podiatrist • Fairview Park, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Grady has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Grady, D, PM was a registered Podiatrist practicing in Fairview Park, OH. Throughout an active medical career spanning 9 years, Jack Grady provided care at the practice location at 20800 WESTGATE MALL until profile deactivation on 2018-01-03.
Historical Medicare Part B clinical services included removal of noncancer thickened skin growth, 2-4 growths, removal of fingernails or toenails, 1-5 nails, trimming of dystrophic nails, any number. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
20800 Westgate Mall
Suite 401
Fairview Park, OH 441261323
Specialty Benchmarks & Practice Insights
Comparative analytics for Podiatrist in Fairview Park, OH
Practicing in Fairview Park, OH (595 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
11056
Removal of noncancer thickened skin growth, 2-4 growths
|
358 | 153 | $56.00 | $50.53 |
|
11720
Removal of fingernails or toenails, 1-5 nails
|
303 | 145 | $31.13 | $28.68 |
|
G0127
Trimming of dystrophic nails, any number
|
296 | 142 | $22.09 | $11.73 |
|
11721
Removal of fingernails or toenails, 6 or more nails
|
187 | 103 | $44.03 | $40.30 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
63 | 41 | $71.62 | $65.75 |
|
11057
Removal of noncancer thickened skin growth, more than 4 growths
|
49 | 31 | $63.00 | $58.37 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
32 | 32 | $106.00 | $97.42 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
31 | 12 | $116.68 | $53.99 |
|
Q4038
Cast supplies, short leg cast, adult (11 years +), fiberglass
|
26 | 14 | $41.00 | $40.35 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
23 | 22 | $43.00 | $38.81 |
|
11042
Removal of skin and tissue, 20.0 sq cm or less
|
23 | 11 | $113.00 | $99.13 |
|
10060
Simple or single drainage of skin abscess
|
18 | 15 | $114.00 | $102.11 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
16 | 11 | $73.44 | $46.49 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 213E00000X
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Speech-Language Pathologist
Speech-Language Pathologist (Certificate of Clinical Competence)
Dentist
Doctor of Dental Surgery
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Occupational Therapist
Occupational Therapist Registered, L
Speech-Language Pathologist
Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)
Occupational Therapist - Pediatrics
Occupational Therapist Registered, L
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 03, 2018
NPI status registered as active in NPPES database
Registered at 20800 WESTGATE MALL, SUITE 401, FAIRVIEW PARK, OH 441261323 (Tel: 4404789434)
Registered at 20800 WESTGATE MALL, SUITE 401, FAIRVIEW PARK, OH 441261323 (Tel: 4403337722)
Recorded as JACK GRADY, D,P.M
Podiatrist (License #36003597 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
20800 Westgate Mall, Suite 401
Fairview Park, OH 441261323
Phone: 4403337722
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